-
hcup-us.ahrq.gov/reports/statbriefs/sb71.pdf
April 01, 2009 - childbirthrelated procedures
have garnered media attention and stimulated interest in research
on the safety … Safety of vaginal birth after
Cesarean: A systematic review. … DRGs comprise a patient classification system that categorizes patients into groups that are clinically … analysis
The unit of analysis is the hospital discharge (i.e., the hospital stay), not a person or patient …
– Medicaid includes feeforservice and managed care Medicaid patients.
-
www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi4.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Neonatal CLABSI Prevention
Results … Previous Page Next Page
Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative … No skin prep was noted for approximately 1 percent of patients.
Table 3. … The types of catheters in use among patients with infections can be found in Table 4 . … The majority of patients were noted as having feedings <120 cc/k/d (87.6 percent).
-
effectivehealthcare.ahrq.gov/sites/default/files/crosscutting-horizon-scan-high-impact-1312.pdf
December 01, 2013 - designed to cater to
the special needs of the senior population (people aged 65 and older) to improve safety … safety.20,21 During the transition, medications may be altered and self-care
responsibilities increased … The authors also reported “strong indicators of clinical
effectiveness and a 98 percent ‘would recommend … effectiveness and safety. … In general, experts called for more substantial
data proving the safety and effectiveness of this care
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
January 01, 2022 - Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report
PATIENT
SAFETY … Center for Quality Improvement and Patient Safety (CQuIPS)
Agency for Healthcare Research and Quality … From the AHRQ Center for Quality
Improvement and Patient Safety, we thank Elizabeth Bainger, Erin Grace … to
ultimately improving the quality and safety of care patients receive in this setting. … Historical Background: Medicare Patient Safety Monitoring System
C.
-
www.ahrq.gov/healthsystemsresearch/hspc-research-study/conclusions.html
July 01, 2021 - HSR has helped establish an evidence base to support decisionmaking and improvements in the quality, safety … used to improve the design of health care benefits, inform health care policy, and help providers and patients … knowledge and practice impact, (3) health care systems and services impact, (4) policy impact, (5) patient … safety or HIT implementation). … HRSA provides critical leadership in research on safety net services and the health care workforce, and
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/ptsd-protocol.pdf
July 10, 2018 - or their loved ones are
considering, and augment and inform the use of existing tools to assist in patient … • Settings—No restriction by location of either the provider or patient (e.g., military base,
Veterans … Attendance and substance use outcomes for the Seeking
Safety program: sometimes less is more. … Number of trauma types and traumatic events experienced per patient*
c. … Exclusion of patients with suicidality*
Outcomes
a.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/ptsd-protocol.pdf
July 10, 2018 - or their loved ones are
considering, and augment and inform the use of existing tools to assist in patient … • Settings—No restriction by location of either the provider or patient (e.g., military base,
Veterans … Attendance and substance use outcomes for the Seeking
Safety program: sometimes less is more. … Number of trauma types and traumatic events experienced per patient*
c. … Exclusion of patients with suicidality*
Outcomes
a.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/alcohol-misuse-drug-therapy_disposition-comments.pdf
May 13, 2014 - For
example, for disulfiram, we know this is a magic bullet to stop drinking if the
patient takes the … For instance, if a patient is
taking disulfiram and drinks, the person will know if he/she is taking … Hepatic safety of injectable extended-
release naltrexone in patients with chronic hepatitis C and HIV … #1;
Alkermes,
Inc.,
Bernard
Silverman,
maker of
Vivitrol
Results Review Key Question 3 and Safety … Hepatic safety of injectable
extended-release naltrexone in patients with chronic hepatitis C and HIV
-
effectivehealthcare.ahrq.gov/sites/default/files/s166.pdf
October 01, 2007 - The efficacy and safety of benzodiazepines and nonbenzodiazepines,
relative to placebo, were compared … Office of Medical Applications of Research
(OMAR) to perform a systematic review of the efficacy
and safety … authors to make decisions about the main
comparisons to be meta-analyzed with respect to the efficacy
and safety … To examine the relative efficacy and safety of active
treatments, we performed indirect comparisons (
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/future05-breastcancer-10-5-2010final.pdf
September 01, 2010 - attention on the strength and limits of evidence from research studies about the effectiveness and
safety … Patient - understanding why more patients
do not use SERMs
b. … C2: What factors influence patient and clinician decision making? … A Phase I, open
label, oral, single-dose, escalating,
randomized, parallel study to evaluate
safety … Tamoxifen-associated
vasculitis in a breast cancer patient.
-
www.ahrq.gov/sites/default/files/2024-01/guise2-report.pdf
January 01, 2024 - System (ASRS) and the Patient Safety Reporting System (PSRS), we
launched our Obstetric Safety Reporting … field patient and obstetrical safety. … Patient Safety in Obstetrics: Learning From Other High-
Risk Fields. … Invited
NASA safety experts to speak about aviation and patient safety and facilitate interdisciplinary … The Joint Commission Journal on Quality and Patient
Safety. 2007.
-
digital.ahrq.gov/sites/default/files/docs/page/percentage-of-orders-entered-using-cpoe-quick-reference-guide.pdf
February 01, 2009 - Measure Category: Provider Adoption and
Attitudes
Quality Domain: Patient Safety
Current Findings
-
www.ahrq.gov/ncepcr/reports/2025-annual-report/quality-improvement.html
August 01, 2025 - Safety, five in Person-Centered Care, four in Digital Healthcare, four in Behavioral Health and Substance … Medical College of Wisconsin Grant Start Date: February 1, 2022 Aims to increase the proportion of patients … A New Combination of Evidence-Based Interventions to Improve Primary Care Diagnostic Safety and Efficiency … The research team plans to examine the impact of the EBIs on patient safety and diagnostic efficiency … (Read Eating Disorder Resources for Clinicians and Patients for additional information on this topic
-
www.ahrq.gov/sites/default/files/2024-01/lannon1-report.pdf
January 01, 2024 - Subthemes included
quality and patient safety, practice-based research and improvement networks,
pharmacogenomics … Subthemes included quality and patient safety, practice-based research and
improvement networks, performance … Solutions for Patient Safety (SPS): SPS is composed of eight Ohio children's hospitals. … Below is a summary of networks key accomplishments:
Solutions for Patient Safety (SPS)
Initial work … safety.
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/hycr-consolidated-slides.pptx
May 11, 2023 - included in most studies."
11
Safety
Additional safety studies include:
O’Connor et al. (2009 … Efficacy and safety of exercise training in patients with chronic heart failure: HF-ACTION randomized … with a clear explanation of processes in place to ensure their safety at home, and ask them to them … repeat the processes back to you.
47
Adopt a Safety Plan
47
Even enthusiastic staff may develop … and patient sharing of confidential information?
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digital.ahrq.gov/sites/default/files/docs/citation/CommFocusedTechYoungAAWomenFinal.pdf
March 01, 2017 - safety in ambulatory settings. … important;33 however, most
providers do not routinely recommend or provide preconception care to their patients … recruited participants through flyers posted in clinics at Boston Medical Center (BMC),
a registry of BMC patients … These research questions were well suited for
qualitative methods, given the goal of understanding the patients … Information from health care providers was perceived as personalized to patients’ specific
context and
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/high-cholestorol-medicines-update_research-protocol.pdf
December 31, 2013 - paucity of evidence to address this question, so
they conducted additional analyses unrestricted by patient … The results will help provide an evidence base for future practice guidelines to
influence patient management … We will include adults at moderate and high risk of CVD (the previous report had no
restrictions by patient … Efficacy and safety of more intensive lowering of LDL cholesterol: a meta-‐analysis of data
from … Lipid-‐altering
efficacy
and safety
of
ezetimibe/simvastatin versus atorvastatin in patients
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
June 02, 2025 - DON: The Medical Director comes once a week to make rounds on his patients. … He goes to each
unit and makes rounds to see patients with the nurse manager. … designee)
X X X
Rehab
Department
Internal Review
Department team weekly review of
rehab patients … For example, some, but not all, of the physicians have standing
orders for daily weights for CHF patients … I will print out
the Transfer Risk Report to track the number of patients with high-risk
diagnoses
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc3.pdf
September 01, 2014 - C-Section NPSV
�
Importance
� A measure of potential harm/waste.
�
High cost, and safety … is no validity data for this or the other visit measures; Seems more important to keep for younger patients … Not patient centered, better measure would be survey of patients (CAHPS), and most states do this survey … Few patients. … Regardless of the issues identified, there are relatively strong indicators that central line bundles
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-0084-fullreport.pdf
March 01, 2016 - and education, including patient-reported breastfeeding … health and safety through the identification and development of
evidence-based clinical performance … Measure Topic – patient safety: No.
k. Measure Topic – family experience with care: No.
l. … The automated
report did not find the component for any of the 75 eligible patients, but one patient … The automated report did not find the
component for any of the two eligible patients, but one patient